| Catawba Valley Psychiatric Services | |
|
1120 Fairgrove Church Rd Hickory NC 28602-9630 | |
| (828) 326-3809 | |
| Not Available |
| Full Name | Catawba Valley Psychiatric Services |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 1120 Fairgrove Church Rd, Hickory, North Carolina |
| Authorized Official Name and Position | Pamela Gallagher (VP OF FINANCE) |
| Authorized Official Contact | 8283263800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Catawba Valley Psychiatric Services Po Box 890499 Charlotte NC 28289-0499 Ph: (828) 326-3809 | Catawba Valley Psychiatric Services 1120 Fairgrove Church Rd Hickory NC 28602-9630 Ph: (828) 326-3809 |
| NPI Number | 1497792469 |
|---|---|
| Provider Enumeration Date | 05/31/2006 |
| Last Update Date | 11/20/2023 |
| Certification Date | 11/20/2023 |
| Medicare PECOS PAC ID | 0547178907 |
|---|---|
| Medicare Enrollment ID | O20040127000109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497792469 | NPI | - | NPPES |
| 6005745 | Medicaid | NC | |
| 0236L | Other | NC | CAT VAL PSY BCBS |
| 0236L | Other | NC | NC BCBS |
| 890236L | Medicaid | NC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Ramakrishna P Rao |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1457397903 PECOS PAC ID: 7810959665 Enrollment ID: I20050503000061 |
| Provider Name | Sidney Lopez Myles |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447215900 PECOS PAC ID: 1355366915 Enrollment ID: I20051012000788 |
| Provider Name | Charles B Davis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891711628 PECOS PAC ID: 1052330552 Enrollment ID: I20051114001090 |
| Provider Name | Tyler G Shely |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487673745 PECOS PAC ID: 8123164522 Enrollment ID: I20091014000691 |
| Provider Name | Debra L Engelmann |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417976812 PECOS PAC ID: 3375689771 Enrollment ID: I20091023000358 |
| Provider Name | Isabelle H Eustice |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1821021080 PECOS PAC ID: 1052446093 Enrollment ID: I20100316000995 |
| Provider Name | Rigardy P Munoz |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427092972 PECOS PAC ID: 3577687094 Enrollment ID: I20100903000674 |
| Provider Name | Lance Feldman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972738458 PECOS PAC ID: 6406086552 Enrollment ID: I20140311001299 |
| Provider Name | Adina Christiana Gabor-gagea |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881969558 PECOS PAC ID: 1759501547 Enrollment ID: I20140929002496 |
| Provider Name | Kaaya Malhotra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538325634 PECOS PAC ID: 7719155241 Enrollment ID: I20141008001672 |
| Provider Name | Martha M Evans |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003841750 PECOS PAC ID: 1557689403 Enrollment ID: I20150406001436 |
| Provider Name | Victor W Packard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932292067 PECOS PAC ID: 3274767009 Enrollment ID: I20160204002258 |
| Provider Name | Robyn Renee Miller |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164417036 PECOS PAC ID: 5395057806 Enrollment ID: I20171206002458 |
| Provider Name | Charli Ellis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114239316 PECOS PAC ID: 6002035813 Enrollment ID: I20180905001930 |
| Provider Name | Padma Palvai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891769527 PECOS PAC ID: 5698790327 Enrollment ID: I20191018000892 |
| Provider Name | Numan Gharaibeh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265428544 PECOS PAC ID: 3173593274 Enrollment ID: I20200402002827 |
| Provider Name | Dorothy N Kebaso |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730501214 PECOS PAC ID: 2769897594 Enrollment ID: I20210209001052 |
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Catawba Valley Neurology Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3246 6th Ave Se Ste 101, Hickory, NC 28602 Phone: 828-732-5220 Fax: 828-732-5222 | |
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Terra C. Caudill, Md, Ms, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 2nd Ave Ne Ste 201, Hickory, NC 28601 Phone: 828-324-9900 |